Individual
CARLETTE GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FCCP
Contact information
Practice address
915 EAGLES LANDING PKWY, STOCBRIDGE, GA 30281-5011
(770) 996-6699
(770) 997-4790
Mailing address
915 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-5011
(770) 996-6699
(770) 997-4790
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00713138B
—
GA
Enumeration date
02/15/2006
Last updated
01/19/2021
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